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Home My WebLink AboutSALVAGGIO SEMIANN99(1) fficeholder, Candidate, and Controlled Committee Campaign Statement - Long Form Type or print in ink. (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Check one of the following boxes to indicate the type of statement being flied: ['1 Pre-election Statement [] Supplemental PEa-election Statement (Attach a completed Form 495 to this statement,) Special Odd-Year Campaign Report Semi-annual Statement Termination Statement (Attach a completed Form 415 to this statement.) I fficeholder Candidate, and Controlled Committee Included in this Statement f, 6 c '(2q~c/~/~ RIllDIN/Ill OR UIINEISADDRIIS (NO I OIlREEl) CITY.~M~/ /~ /j STATE 9 ZIP COOt ? AREA I~ODf/OAYTIME PHONE / CO ITTEE NAME c ,n. Aoo..s - do ~T ~ / · i STATE ZIP CODE A~A C~[~AYTIME PH~S iII ' I ' PERMANENT ADDRESS O~ TREASURER Verification Date of election if applicable: (Month, Day, Year) BA ~SF{~LD CiTY II COVER PAGE - LONG FORM , Page ] of ~ For Official Use Only Other Committees klot Included in this Statement: ux committees not included in this consolidated statement that are controlled by you and any committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy, COMMITTEE NAME I D NUM!IER NAME O~ TREASURtR COMMITTEE ADDRESS CITY COMMITTEE NAME (NO. AND STREET) STARE CONTROtL[ D COMMITTtl 1 ] Y,s [] No ZiP CODE AREA COD[JOAYTIM[ t D NUMIER CONTROLLED COMMITlEE? ] Y,s [] NAME 0it TREASURER COMMITIll ADDRESS (NO AND STREET) CITY STATE ZIP CODE AREA CODE/DAYTIME Attach ~ldltional information on appropriately labeled continuation sheets. I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is ,.,., Executed on Aj/ ~P ~ CITY AND SlATe ey /i~ ~ ' : .... ~ :' , An officeholder or cl~idatl who cont~ok a comml~le mutt II!o verify the campaign ~tatlmlnt I have used Ill reasonable diligence and to the ~st of my knowledge the treasurer has used all te&son&ble dihgen¢e in preparing this statement. I have rawawed the statement and to the best ot my knowledge the information contained herein and in the a~ached schedules ~s true and Executed on At By DATE CITy AND STATE Executed on AT By DAlE CITY AND SLATE CA l U~&E R SIGNATURE Of CANDIDAIE/OIflCEHOLOER SlGNA1URI OI CANDIDAIIIOIIICIIIOIL}IR FOR INFORMATION RIQUIRED TO el PROVIDED TO YOU PURSUANT TO 1HE INFORMAT ON PRACT CIS ACT OF 1977, Sl E INF ORMATION_~MA_~AL~,~C_A_M_P_AJG_N pt~CL, OS~J~[~ _P_R~OyISI_~O~N~ OF LHE POLITICAt R[ FORM AC] little nf r'~ltrnrnl} r~i, Pnllti~ ~1 n, ~rtlte~ ('nrnmh,t, Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATgAND CONTROLLED COMMITTEE Contributions Recewed 1. Monetary Contributions ............................... Schedule A, LIne 3 2. Loans Received ......................................... Schedule B, Line 7 3 SUBTOTAL CASH CONTRIBUTIONS ...................... AddUnes t · 2 4. Non-monetary Contributions ......................... Schedule C, Line 3 5. SUBTOTAL CONTRIBUTIONS(Exclude Enforceable Pro·lies) Add Unes 3 + 4 6. Enforceable Promises (Exclude Loin Guarantees, Line 18 below) ................... Schedule D, Une 7 7. TOTAL CONTRIBUTIONS RECEIVED .............. AddUnesS + 6 Expenditures Made 8. Cash Payments (Other than Loans Made) ............ Schedule E, Une 5 9- LOans Made ............................................. Schedule H, Une 7 10. SUBTOTAL CASH PAYMENTS ............................ AddLtnel8 + 9 11. Accrued Expenses (Unpaid Bills) ........................ Schedule F, Une 5 12. TOTAL EXPENDITURES MADE ......................... AddLines 10 · II Current Cash Statement 13. Beginning Cash Balance .................. PrevloussummetyPage, sine 17 14. Cash Receipts ...................................... Column A, Line 3 above 15. Miscellaneous Increases to Cash ........................ schedule I, Line 4 16. Cash Payments .................................... Column A, Line I 0 above 17, ENDING CASH BALANCE ..... AddLines 13 , 14 , I5, then~ubtractLine 16 If this is · termination st·re·ant, Line 17 must be zero. 18. LOAN GUARANTEES RECEIVED .............. Schedule a, Pan/, Column(b) Cash Equivalents and Outstanding Debts 19. Cash Equivalents ................................ See Instructions on reverse 20. Outstanding Debts ................. AddLine 2 , Line I1 inColumnCabove Type or print In ink. Amounts may be rounded to whole dollars. C// Column A TOIAL THIS IqERIOD (FROM AI'IACHIO SCHEDULES) ~-~ 2 .o6 SUMMARY PAGE ,,o; ' --: ::-::::::i:::!" : Column B· TOTAL PREVIOUS PERIOD (SEE NOTE IELOVV} COlumn C TOTAL 10 DATE (ADD COLUMNS A + $ .......... --, ~ * From previous Statement Summary Page, Column C. However. if this is the first report filed for the calendar year. Column B should be blank except for Loans Received (Line 2), Enforceable Promises (Line 6). Loans Made (Line 9). and Accrued Expenses (Line 11 ). Summary for Candidates in Both June and November Elections 1/1 through 6/30 7/1 to Date 21 ontrib tions /u~;i/fG Aj~/~ Schedule A Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE ~AM °?"":E"°2ER °R D'DATE AND c°N"°LL D c°M EE ,--= :, :"'',,,' 'tj~/? ~ /. ~/~. . \ r~ / , ~ ,- z. / G ...,L..'~ f..^ rk I/z ~ · \ ~LL NAME OCCUPATION AND EMPLOYER ESS OF CONTRIBUTOR DATE (IF COMMITTEE, IN ADDITION TO (0MMITTEE'S NAME AND ADDRESS, ENTER IO NUMBER (IF SELF ,EMPLOYED, ENTER RECEIVED O~ IF NO I.D NUM![R HAS lIEN ASSIGNED, ENTER TREASUR[R'S NAME AND ADDRESS} NAME OF IUSINESS) SUBTOTAL $ Monetary Contributions Summary 1. Amount received this period -- contributions of $100 or more. (Include all Schedule A subtotals.) .................................................................................................... 2. Amount received this period -- contri butions of less than $100. (Do not itemize.) ....................................................................................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) ......................................... TOTAL SCHEDULE A Statem~,nt covers period . ,,,, ///; _ AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC. 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) s 2c"""' Schedule E Payments and Contributions (Other Than Loans) Made Type or prim in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period ,,ore //d~/'~ ~ through t~/~ '/~ ~ '~/~'~., SCHEDULE E Page If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment" column blank. Refer to the back of Schedule E-Continuation Sheet for detailed explanations ot~ach category. 'C'- MONETARYANDIN-KIND(NON-MONETARY) CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES '1° - INDEPENDENT EXPENDITURES 'L*- LITERATURE NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION (IF COMMFITE[, IN ADOITION TO COMMITTEE'~ NAME AND ADDRESS, ENTER LD. NUMIER OR, W NO I.D. NUMBER HAS IEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) .,~ ~ b,~ Dt ,.,'., ~ t / 'B'- BROADCASTADVERTISING 'N'- NEWSPAPER AND PERIODICAL ADVERTISING 'O' - OUTSIDE ADVERTISING 'S° - SURVEYS, SIGNATURE GATHERING. DOOR-TO-DOOR SOLICITATIONS 'F' - FUNDRAISING EVENTS 'G' - GENERAL OPERATIONS AND OVERHEAD *T' _ TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) °P° - PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW CODE "'l. ':,x O.,.~-,':. ~ ~ ~,~,, / ,/ ~. ~ , ' . -'c ', '. ' ' ~" :" ' ' ' ' ' '~: ;~ ' ' 3/:h.-? o z~ Im ~ant: Cont6Ntio~ a~x~lu~s made ~t of cam~i n ~ ~o or on ~half of other o~h~de~, ca~idal~, c~m~m, or Nliot meesu~s must ~o ~ ente~ on the AIl~ation Paje, Pa~ I. : SUBTOTAL AMOUNT PAID / [,/, Payments and Contributions Made Summary ~. Payments made this period of 5100 or more. (Include all Schedule E subtotals.) ............................ : ......................... 2. Payments made this period of under $100. (Do not itemize.) ....................................................................... 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) .............................. 4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ..................................... 5. Total payments madethis period. (Add Lines l, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line B) ........... TOTAL Schedule E (Continuation Sheet) Payments and Contributions (Other Than Loans) Made Type or Ixlnt In ink. Amounts rely be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE 'C' - MONETARY AND IN-KIND (~N-MONETARY) "B' - BROA~ST ADVERTISING CONTRIBUT~NSTOOTHER~NDIDATES 'N'- NE~PAPERANDPER~D~LADVERTISING ANDCOMMI~EE$ "O"- OU~IDEADVERTISING '1' - INDEPENDENT EXPENDITURES 'S'- $URVE~,$1GNATUREGATHERING,~R-T~R~LtCITATtONS CODE OR 'L'- LITERATURE i 'F'- FUNDRAI$1NGEVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION (If COMM~'rEE, IN AINN/ION TO COMMrrr[E'~ flAME Aft) AI)OI~S$. ENI'ER I.D. NUMIER O1~ le NO I.D. NUMIER NA$ liEN ASf4GNED, ENfER TR~A~URIER'$ NAME AND : , / ~ _.~ ~ / SCHEDULE E (cont.) 'G" - GENERAL OPERATIONS AND OVERHEAD 'T' - TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) 'P* - PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL Schedule I Miscellaneous Increases to Cash Type or print in Ink. Amounts may be roumJed to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDID T RECEIVED ~ C~M~EL I A~ TO C~M~[[~ ~ME A~ AO~SS, ENTER I.D. NUMIER ~ · ~ LD. NUMIER HAS ~EN -- ~ \ ~ : /// / A etach additional information on appropriately labeled continuation sheets. Miscellaneous Increases to Cash Summary Stmt:f/?cov~s~_period through (//~ DESCRIPTION OF RECEIPT SCHEDULE I .... :~, ,~ ..~-~: ~.. · :~ '-.~ .~ ~ , . ::: - .> o' . I.D. NUMBER AMOUNT OF INCREASE TO CASH SUBTOTAL ,. ,o .,, o, s ,oo o, ,.o,. ,.,. ..,,o. ............................................................. 2. Increases to cash under $100 this period. (Do not itemize.) ................................................. 3. Total of 811 interest received this period on loans made to others. (Schedule H, Part II (b).) .................... 4. Total miscellaneous increases to cash this period. (Add Lines 12, and 3. Enter here and on the Summary Page, Line 15.)' ....................................................................... TOTAL